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January 2, 1926


JAMA. 1926;86(1):32. doi:10.1001/jama.1926.26720270002008a

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This case should prove of interest, as I was unable to find any to compare with it in the literature:

P. M., a married woman, aged 31, a Jewess, was of good habits and had had no diseases of childhood, except at the age of 8, an attack of tonsillitis; this was followed by streptococcic arthritis, which cleared up and never returned, but left the patient with a stenosis of the mitral valve. The history up until the time I first saw her was indefinite.

She consulted me at 14 years of age for palpitation and indigestion. The physical examination at that time showed a heart of enormous hypertrophy and dilatation, with auricular fibrillation, mitral stenosis, aortic systolic murmur and tricuspid regurgitation. There was a slight icteric tint to the skin, and the liver was about three finger-breadths below the border of the ribs; urinalysis gave negative results; no edema

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